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General NPI Number Information
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NPI Number | 1285829150
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Entity Type | Individual
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Provider Name | MARLENE CARINO TUSCANO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 202 N 8TH ST
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City | EL CENTRO
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State | CA
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Zip | 92243-2302
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Country | US
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Telephone | 442-265-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 7328 E WILSHIRE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-1441
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Country | US
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Telephone | 480-492-6367
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A97196
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License Number State | CA
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